New Technologies to Deliver CBT for Young Children with Obsessive-Compulsive Disorder

2019 ◽  
pp. 348-364
Author(s):  
Kristina Aspvall ◽  
Fabian Lenhard ◽  
Eva Serlachius ◽  
David Mataix-Cols
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
New Technologies ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

scholarly journals How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

10.2196/11643 ◽  
2019 ◽  
Vol 6 (12) ◽  
pp. e11643 ◽  
Author(s):  
Florian Ferreri ◽  
Alexis Bourla ◽  
Charles-Siegfried Peretti ◽  
Tomoyuki Segawa ◽  
Nemat Jaafari ◽  
...  
Keyword(s):  
Machine Learning ◽  
Virtual Reality ◽  
Obsessive Compulsive Disorder ◽  
New Technologies ◽  
Assessment Tools ◽  
Clinical Practices ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Pubmed Database ◽  
The Impact

Background New technologies are set to profoundly change the way we understand and manage psychiatric disorders, including obsessive-compulsive disorder (OCD). Developments in imaging and biomarkers, along with medical informatics, may well allow for better assessments and interventions in the future. Recent advances in the concept of digital phenotype, which involves using computerized measurement tools to capture the characteristics of a given psychiatric disorder, is one paradigmatic example. Objective The impact of new technologies on health professionals’ practice in OCD care remains to be determined. Recent developments could disrupt not just their clinical practices, but also their beliefs, ethics, and representations, even going so far as to question their professional culture. This study aimed to conduct an extensive review of new technologies in OCD. Methods We conducted the review by looking for titles in the PubMed database up to December 2017 that contained the following terms: [Obsessive] AND [Smartphone] OR [phone] OR [Internet] OR [Device] OR [Wearable] OR [Mobile] OR [Machine learning] OR [Artificial] OR [Biofeedback] OR [Neurofeedback] OR [Momentary] OR [Computerized] OR [Heart rate variability] OR [actigraphy] OR [actimetry] OR [digital] OR [virtual reality] OR [Tele] OR [video]. Results We analyzed 364 articles, of which 62 were included. Our review was divided into 3 parts: prediction, assessment (including diagnosis, screening, and monitoring), and intervention. Conclusions The review showed that the place of connected objects, machine learning, and remote monitoring has yet to be defined in OCD. Smartphone assessment apps and the Web Screening Questionnaire demonstrated good sensitivity and adequate specificity for detecting OCD symptoms when compared with a full-length structured clinical interview. The ecological momentary assessment procedure may also represent a worthy addition to the current suite of assessment tools. In the field of intervention, CBT supported by smartphone, internet, or computer may not be more effective than that delivered by a qualified practitioner, but it is easy to use, well accepted by patients, reproducible, and cost-effective. Finally, new technologies are enabling the development of new therapies, including biofeedback and virtual reality, which focus on the learning of coping skills. For them to be used, these tools must be properly explained and tailored to individual physician and patient profiles.

scholarly journals Hoarding behavior among young children with obsessive–compulsive disorder

2014 ◽  
Vol 3 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Hannah Frank ◽  
Elyse Stewart ◽  
Michael Walther ◽  
Kristen Benito ◽  
Jennifer Freeman ◽  
...  
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Hoarding Behavior

scholarly journals Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

2019 ◽  
Vol 19 (3) ◽  
pp. 218-227 ◽  
Author(s):  
Ángel Rosa-Alcázar ◽  
Ana I. Rosa-Alcázar ◽  
Pablo J. Olivares-Olivares ◽  
José L. Parada-Navas ◽  
Encarnación Rosa-Alcázar ◽  
...  
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
Family Involvement ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Randomized Control Study ◽  
Randomized Control ◽  
Control Study

The Integration of New Technological Approaches in OCD Care

2017 ◽  
Author(s):  
Seth Feuerstein
Keyword(s):  
Genetic Testing ◽  
Obsessive Compulsive Disorder ◽  
New Technologies ◽  
Diagnostic Tools ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Software Technology ◽  
Technological Advances ◽  
Clinical Environments ◽  
Support Treatment

This chapter explores topics related to how technology is impacting care for patients with obsessive compulsive disorder (OCD) and providing new resources for their caregivers. It explores what has occurred and is occurring today in clinical environments with the introduction of new technologies. It goes on to describe current research into how to leverage newer technologies, and discusses what we might expect in a few years. Technology can mean many things, including new medications, novel pharmaceutical approaches such as immunotherapeutics, genetic testing to support treatment selection, and potential new diagnostic tools such as fMRI. The emphasis here is on software technology; other areas of clinically relevant technological advances are covered elsewhere in this text.

scholarly journals Internet-delivered cognitive behavioural therapy for young children with obsessive–compulsive disorder: development and initial evaluation of the BIP OCD Junior programme

BJPsych Open ◽  
2018 ◽  
Vol 4 (3) ◽  
pp. 106-112 ◽  
Author(s):  
Kristina Aspvall ◽  
Per Andrén ◽  
Fabian Lenhard ◽  
Erik Andersson ◽  
David Mataix-Cols ◽  
...  
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Primary Outcome Measure ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Evidence Based Treatments ◽  
Randomised Controlled

BackgroundInternet-delivered cognitive behavioural therapy (ICBT) is a promising approach for increasing access to evidence-based treatments.AimsTo develop and evaluate the feasibility and preliminary efficacy of an ICBT programme for young children with obsessive–compulsive disorder (OCD), named BIP OCD Junior.MethodEleven children aged 7–11 years were enrolled in a 12-week open trial of parent- and therapist-guided ICBT for OCD. The primary outcome measure was the Children's Yale–Brown Obsessive–Compulsive Scale (CY-BOCS).ResultsThere was a significant improvement in OCD symptoms post-treatment, with a large within-group effect size on the CY-BOCS (Cohen's d = 1.86, 95% CI 0.83 to 2.86). Results were maintained at 3-month follow-up. Both children and parents rated the treatment as credible and were highly satisfied with the intervention.ConclusionsBIP OCD Junior is a feasible and credible treatment option for young children with OCD. Randomised controlled trials are needed to further establish its efficacy and cost-effectiveness relative to gold standard face-to-face CBT.Declaration of interestNone.

scholarly journals Ψηφιακή Αφήγηση και η Εφαρμογή της σε Άτομα με Ιδεοψυχαναγκαστική Διαταραχή; Digital Storytelling and Its Application to People with Obsessive-Compulsive Disorder

2020 ◽  
Vol 10 (1A) ◽  
pp. 100
Author(s):  
Μεταξία-Μαρία Δημητρίου Αργυροπούλου
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Digital Literacy ◽  
Digital Storytelling ◽  
New Technologies ◽  
Health Sector ◽  
Professor Emeritus ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Whole Process ◽  
The Impact

Η ψηφιακή αφήγηση αποτελεί ένα σημαντικό εργαλείο προσωπικής έκφρασης μέσω της δημιουργίας και του διαμοιρασμού ιστοριών που αφορούν σε προσωπικές εμπειρίες και βιώματα ανθρώπων οι οποίες δυνητικά μπορούν να εξυπηρετήσουν διάφορους σκοπούς (Μελιάδου et al., 2013).Τα τελευταία χρόνια η ψηφιακή αφήγηση έχει αρχίσει να εφαρμόζεται στο χώρο της ψυχικής υγείας (De Vecchi et al., 2017; Cohen et al., 2015) δίνοντας στους πάσχοντες τη δυνατότητα να εκφραστούν ελεύθερα αναφορικά με την κατάσταση τους γεγονός που σύμφωνα με τους Gubrium et. al. (2014) την καθιστά ως ένα πολύτιμο εργαλείο στην υγειονομική περίθαλψη.Η παρούσα εισήγηση βασίζεται στην ομώνυμη διπλωματική εργασία που δημοσιεύτηκε τον Απρίλιο του 2019 από τη συγγραφέα υπό την επίβλεψη του κ. Μιχάλη Μεϊμάρη, Ομότιμου Καθηγητή Νέων Τεχνολογιών και Μ.Μ.Ε. στην Επικοινωνία και την Εκπαίδευση του Τμήματος Επικοινωνίας και Μέσων Μαζικής Ενημέρωσης του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών. Aφορούσε στη διεξαγωγή ενός σεμιναρίου σε πάσχοντες από Ιδεοψυχαναγκαστική Διαταραχή με σκοπό να διερευνηθεί η επίδραση της ψηφιακής αφήγησης σε αυτούς και να εξεταστεί το ενδεχόμενο της δυνητικής ενσωμάτωσης της στα πλαίσια της διαδικασίας της ψυχοθεραπείας. Ταυτοχρόνως, μέσω της παρουσίασης εργαλείων επεξεργασίας βίντεο για τις ανάγκες του σεμιναρίου, εξετάστηκε η βελτίωση του ψηφιακού γραμματισμού των συμμετεχόντων.Τα αποτελέσματα τα οποία προέκυψαν μετά το πέρας της ποιοτικής έρευνας η οποία διεξήχθη ήταν θετικά καθώς η όλη διαδικασία βοήθησε τόσο στην ανάπτυξη της ενσυναίσθησης μεταξύ των συμμετεχόντων μέσω της εξωτερίκευσης των συναισθημάτων τους όσο και στη βελτίωση του ψηφιακού γραμματισμού τους.Η ψηφιακή αφήγηση, με βάση τα συμπεράσματα που προέκυψαν από το σεμινάριο καθώς και από τις προτάσεις των συμμετεχόντων, θα μπορούσε ενδεχομένως να ενσωματωθεί στα πλαίσια ομαδικής ψυχοθεραπείας παίζοντας έναν βοηθητικό/συμπληρωματικό ρόλο σε αυτήν. Digital storytelling is a powerful means of expression due to the fact that it permits the creation and publication of people’s stories concerning personal experiences. As a result, it can potentially serve a variety of purposes (Meliadou et al. 2014).Recently, digital storytelling has begun to be implemented in the field of the mental health sector (De Vecchi et al., 2017; Cohen et al., 2015) enabling sufferers to express themselves freely regarding their condition which according to Gubrium et. al. (2014) makes it a valuable tool in healthcare.The present paper is based on the author's thesis, which was published in April 2019, under the supervision of Professor Emeritus of New Technologies in Media, Communication and Education of the Department of Communication and Media Studies of the National and Kapodistrian University of Athens, Michael Meimaris. It concerned the conduction of a seminar for people suffering from obsessive-compulsive disorder in order to explore the impact of digital storytelling on them as well as its potential integration in the process of psychotherapy. Furthermore, through the presentation of video editing tools during the seminar it was examined the development of their digital literacy.The results obtained after the completion of the qualitative research were positive as the whole process contributed to the externalisation of the particpant’s emotions and consequently to the development of empathy among them while their digital literacy has also been improved.Digital storytelling could potentially be integrated into group psychotherapy by playing an auxiliary / complementary role to it according to the results of the seminar as well as the suggestions of the participants.

scholarly journals Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder

2021 ◽  
Vol 12 ◽  
Author(s):  
Ángel Rosa-Alcázar ◽  
Ana I. Rosa-Alcázar ◽  
José Luis Parada-Navas ◽  
Pablo J. Olivares-Olivares ◽  
Encarnación Rosa-Alcázar
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
Child Behavior Checklist ◽  
Behavioral Therapy ◽  
Externalizing Symptoms ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Treatment Standard ◽  
Initial Severity

Background: Cognitive–behavioral family-based treatment (CBFT) is the treatment standard in very young children with obsessive–compulsive disorder (OCD), which includes the same core components of cognitive–behavioral therapy (CBT) with significant family involvement. Although the latter reports high rates of remission, some children do not improve with treatments. Therefore, it is necessary to identify possible moderating variables such as comorbidity, severity of disorder, years of onset, parental anxiety, and parental accommodation. This study has two main aims: (1) to propose a predictive model on family accommodation (father and mother), taking into account variables related to the children (severity of obsessive–compulsive responses, internalizing and externalizing symptoms, and comorbidity) and with the parents before intervention (worry, accommodation of one parental member over the other) and (2) to examine the mediating role of externalizing symptoms and mother's accommodation in the relation between initial severity and improvement of severity of obsessive–compulsive responses in children aged 5–8 years.Methods: Participants comprised 56 children with OCD [mean = 6.61 (SD = 0.76)] and their parents; 79% of the sample was men. Treatment was implemented by two clinicians specialized in OCD (>15 years of experience). Clinicians were trained to administer CBT protocol in the same way. They were doctors of clinical psychology and researchers at the OCD.Results: Mother's accommodation was associated with child variables (Child Behavior Checklist–Externalizing and Initial Severity, Children's Yale–Brown Obsessive–Compulsive Scale). Father's accommodation could be explained by parent variables (mother's accommodation and worry). Simple mediation model tested using the SPSS macro PROCESS supported the relation of the initial severity of symptoms with that following intervention, through the simple indirect effect of externalizing symptoms of the child.Conclusions: Comorbidities with externalizing symptoms, father's worry, and mother's accommodation were variables that should be controlled in treatment of pediatric OCD.

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